CAJ | 학술논문

目的：探讨纤维胆道镜在肝胆管结石合并肝门部胆管狭窄术中和术后应用的合理性。方法：将76例肝胆管结石合并肝门部胆管狭窄患者随机分为两组,Ⅰ组38例术中配合应用纤维胆道镜治疗,Ⅱ组38例术后应用纤维胆道镜治疗,比较两组残石率及Ⅰ组术中纤维胆道镜结石取净率与Ⅱ组术后纤维胆道镜取净率。结果：Ⅰ组术后有3例患者残余结石,残石率为7.9%,Ⅱ组术后有5例患者残余结石,残石率为13.2%,两组差异有统计学意义(P<0.05)；Ⅰ组术中纤维胆道镜结石取净率为85.7%,Ⅱ组术后纤维胆道镜取净率为58.8%,两者差异有统计学意义(P<0.05)。结论：肝胆管结石术中或术后应用纤维胆道镜有助于降低残石率,提高治疗效果,有广阔的临床应用前景。
목적：탐토섬유담도경재간담관결석합병간문부담관협착술중화술후응용적합이성。방법：장76례간담관결석합병간문부담관협착환자수궤분위량조,Ⅰ조38례술중배합응용섬유담도경치료,Ⅱ조38례술후응용섬유담도경치료,비교량조잔석솔급Ⅰ조술중섬유담도경결석취정솔여Ⅱ조술후섬유담도경취정솔。결과：Ⅰ조술후유3례환자잔여결석,잔석솔위7.9%,Ⅱ조술후유5례환자잔여결석,잔석솔위13.2%,량조차이유통계학의의(P<0.05)；Ⅰ조술중섬유담도경결석취정솔위85.7%,Ⅱ조술후섬유담도경취정솔위58.8%,량자차이유통계학의의(P<0.05)。결론：간담관결석술중혹술후응용섬유담도경유조우강저잔석솔,제고치료효과,유엄활적림상응용전경。
Objective:To study the clinical application of choledochofiberscope in the treatment of hepatolithiasis accompanied with bile stricture near porta hepatis and its rationality. Methods:76 cases of patients with hepatolithiasis accompanied with bile stricture near porta hepatis were divided into two groups. The patients of Ⅰgroup were with the application choledochofiberscope treatment intraoperation. The patients of Ⅱgroup were with the application choledochofiberscope treatment postoperation. Results:The residual stone rate operation in patients with hepatolithiasis accompanied with bile stricture near porta hepatis performed intraoperation and postoperation choledochofiberscope were 7.9%and 13.2%, and the difference between the two groups was statistically significant (P<0.05). The removal rate of operation in patients with hepatolithiasis accompanied with bile stricture near porta hepatis performed intraoperation and postoperation choledochofiberscope were 85.7%and 58.8%, and the difference between the two groups was statistically significant (P<0.05). Conclusions:Operation combined with stone removal by cholangioscopy can lower the residual stone rate of intraoperation and postoperation. It has excellent therapeutic effects and deserves further dissemination.